What is the Best Way to Correct my Tubular Breasts?

Hello, I am 20 years old and have tubular breasts. I want them to be corrected and I want as much information as possible before I make the decision to do so. My goal is simply to have round breasts that look normal. I dont want anything huge, I just want to look healthy and find comfort in my own skin. I have wanted breast implants for over 2 years but I figured I would wait to see if anything would change but nothing has. Please help!

Doctor Answers 24

Tuberous Breast Correction

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Thanks for the questions and photo. Classic tuberous breast deformity involves a narrow breast that can also have a longer skin envelope allowing the areola to point downward. The areola are very puffy from herniated breast tissue within and usually large.

The best treatment involves a periareolar approach to release the constricted base. A dual plane augmentation is used for implant placement and a periareolar lift diminishes areolar size and flattens the herniation. This can be achieved in a single surgery and give a pleasing natural result that you'll be very happy with.

Hope that helps and good luck going forward!

Tuberous breasts can have nice correction with surgery

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Hi Freedom,

I glad you have some thought to this issue and that you waited until you were a little bit older to have the surgery.  Thanks for sending the photo.  It helps a lot.  Most patients with tuberous breast need several things addressed and you appear to be the same.  First the fold under the breast needs to be lowered a bit, an implant is used for volume, the breast parencyma is released so it is not tight and a small lift is done,usually with the areola made a smaller diameter.  With these steps, you can have a pretty result.  You do not need a large implant to get a good result.  However, in terms of implants, the tear drop or anatomical implants are excellent for this type of issue.  Both Allergan and Mentor have silicone teardrop implants available through studies.  I know that Allergan's study allows patients who are age 18 or older.  Allergan also has a saline anatomic (tear drop) implant which might be good for you.  Both companies can refer you to plastic surgeons who are participating in their studies.  Other implants are nice as well but the teardrop has a good shape for tuberous breasts.  Hope this helps.

Tracy M. Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 29 reviews

Tubular Breast Deformity

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Breasts come in all shapes and sizes and significant variations in breast contour are common amongst women. One of the more commonly seen breast variants is the tubular breast deformity. This is also frequently referred to as a constricted breast deformity.

The condition occurs because of constriction of the skin at the base of the breast. This often results in herniation of the breast tissue through the areola which creates a unique breast shape. The vast majority of constricted breast deformities are relatively mild and treatment may not be necessary. Severe cases of this condition occasionally occur and do require treatment because of the magnitude of the breast deformity.

A variety of approaches can be used to correct this problem. In some cases, breast lift and breast augmentation may be necessary. Treatments should be individualized based on the specifics of the anatomic deformity and the aesthetic goals of the patient.

Based on your history and pictures, I believe you probably have a mild tubular breast deformity. If you have continued concern about this issue, consultation with a board certified plastic surgeon would be appropriate. This surgeon should be able to address both your unique anatomic findings and aesthetic concerns.

How could you correct these breasts?

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Thank you for your question. Your photographs are very helpful. Based on the photo, you would be a great candidate for a breast lift and perhaps a breast augmentation. Best to have a consultation with a board certified plastic surgeon. Good luck to you.

Tuberous constricted breasts

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Thank you for your question and for sharing your photo. Based on your photograph, it appears that your breast are constricted and not allowing the lower aspect of your breast to fully develop. Breast surgery is an option to help reshape the breast and release some of the constrictions. An implant and breast lift may also help reshape the breasts as well. I would visit with a board certified plastic surgeon who can discuss the different operative techniques and options with you.

Fix my tuberous breasts

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Because there is a wide range of conditions (appearances) from mild to severe, the surgical treatment for #TuberousBreastDeformity or #TBD .will vary but can include: implant alone, the use of tissue expansion , correction of the breast base and breast fold, and the correction of the areola
Mild forms of TBD can be undiagnosed often leading to incorrect or incomplete surgery.The surgery must address all of the anatomical problems including: breast fold malposition, constricted or narrow breast base,

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Tuberous Breast Correction

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 A common treatment technique involves releasing constricted breast tissue underneath the protruding nipples to give your breasts a fuller, less "snoopy" shape. No breast implants are needed but you may not be happy with their size after surgery. 

What is the best way to correct my tubular breasts?

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Thank you for your question!   Given your photos, it does appear that you have a tuberous breast deformity.  The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift.  These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae.  These are the hallmarks of tuberous breasts.  

Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations.  S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires.  I would expect a very pleasing result for you!  Hope that this helps!  Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Tuberous Breasts and Implants?

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Thank you for your question and picture. Your picture demonstrates breast ptosis along with constriction/tuberous anomaly. Tuberous breasts  generally have a very narrow base and usually a long skin envelope. In the most severe cases of tuberous breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. You should be aware that the final result will take months to see and that you will need to be patient. The incision is usually confined to around the nipple/areola and may require a vertical/horizontal incision (in some cases) as well. The procedure involves making internal incisions to release the tight breast tissues, making a larger space for an implant, rounding out the lower breast crease, and correcting enlarged and protruding areola.  The space between the breasts ( cleavage area)  can be decreased with the use of implants as well. Make sure that your surgeon has experience with this specific procedure and is a board certified plastic surgeon. I hope this helps.

Surgical options for tuberous constricted breasts

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The traditional approach is circumareolar reduction with radial relaxing incisions with dual plane approach and submuscular placement of conservatiive sized round smooth silicone implants. Fat grafting is emerging as a new option.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.